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Acute pain management in older adults presenting to the emergency department: a clinical review
(2026-04-01)
Kampan, Sirasa
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Thong-On, Kwannapa
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Pongvirat, Kanokporn
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Veeraditthakij, Monalin
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Sri-On, Jiraporn
ABSTRACT: Managing acute pain in older adults is a complex challenge in emergency care, influenced by age-related physiological changes, multimorbidity and altered pharmacokinetics. Inadequate treatment contributes to frailty, delirium, functional decline and reduced quality of life, yet oligoanalgesia remains prevalent. Accurate assessment is essential, using tools such as the numeric rating scale, Pain Assessment in Advanced Dementia and Abbey Pain Scale, according to cognitive status. Treatment prioritises acetaminophen as first-line therapy, with cautious use of nonsteroidal anti-inflammatory drugs and opioids, following the 'start low, go slow' principle. Alternative options, including intranasal or nebulised ketamine and methoxyflurane, as well as regional anaesthesia techniques such as pericapsular nerve group and serratus anterior plane blocks, offer additional benefits. A multimodal, individualised approach is essential to achieve safe and effective pain control in this vulnerable population.
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UDL-Based Photography Educational Resource for Older Adults: Design Guidelines for Mobile Education
(2026-01-01)
Kasemsarn, Kittichai
This research aims to develop design guidelines for the smartphone-based photography educational resource for older adults through Universal Design for Learning (UDL) principles. Employing a two-phase methodology, the research collected data from 100 older adults in Bangkok through questionnaires examining barriers, drivers, and learning preferences, followed by design guideline development. Analysis revealed a perception of difficulty as the primary barrier, while post-retirement income potential emerged as the strongest driver. All participants preferred smartphones for learning photography, yet simultaneously favored along with physical books as reference materials. The research contributes to human–computer interaction (HCI) knowledge by providing validated design guidelines that address typography preferences, visual contrast requirements, and layout specifications while accommodating older adults’ dual-modality learning preferences. These findings advance age-appropriate mobile interface design while offering practical implementation strategies for developers creating educational applications supporting creative engagement among older adults.
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Museum Presentations for Older Adults: A Review of Universal Design for Learning (UDL) Integration with Digital Storytelling (DST) Guidelines
(2025-06-01)
Kasemsarn, Kittichai
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Nickpour, Farnaz
Museums face significant challenges in engaging older adult visitors, particularly regarding digital storytelling (DST) integration and technology accessibility. In this case, universal design for learning (UDL) principles could address accessibility and engagement challenges for older adult visitors through multiple means of representation, engagement, and expression. This review examines how museums can develop inclusive DST frameworks that integrate universal design for learning (UDL) principles to enhance older adults’ engagement and learning experiences. The study investigates three main factors, namely DST, UDL, and older adults’ specific needs and preferences in museum contexts. Through a comprehensive literature review, this research presents an initial framework that systematically maps 10 DST elements across UDL’s 3 core principles, namely multiple means of engagement, representation, and action/expression. The initial framework contributes new knowledge by offering practical implementation strategies while establishing a theoretical foundation for understanding how DST can be adapted to serve older adults’ needs. This review article advances museum accessibility studies and provides a foundation for developing more inclusive cultural institutions that effectively serve older adult visitors while maintaining engaging and meaningful experiences.
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Museums for Older Adults and Mobility-Impaired People: Applying Inclusive Design Principles and Digital Storytelling Guidelines—A Review
(2024-04-01)
Kasemsarn, Kittichai
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Sawadsri, Antika
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Harrison, David
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Nickpour, Farnaz
The research problems addressed in this article pertain to the limited understanding and insufficient availability of digital storytelling guidelines for elderly and physically impaired individuals in museum presentations. The objective of this review is to explore digital storytelling guidelines along with the latest technology in museums catering to older adults and those with mobility impairments. This literature review included databases such as Scopus, ScienceDirect, and Google Scholar, covering the period from 2000 to 2023. Researchers comprehensively examined and employed content analysis to categorize all papers into three primary themes: (1) inclusive design for museum presentations; (2) trends in technology for digital storytelling in museum presentations; (3) guidelines for digital storytelling in museum presentations. This review article could enhance understanding and promote diversity, accessibility, and motivation among two specific groups of museum visitors, both onsite and online.
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Teaching art via digital technology for the elderly applying with inclusive design: A review
(2024-01-01)
Kasemsarn, Kittichai
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Sawadsri, Antika
Art studies and activities for older adults have received significantly less attention as a result of prohibitively expensive materials that are unfit for commercial use, and research utilizing digital technology to investigate artistic activities for older adults is extremely limited. The purpose of this article is to analyze and review recent research in these fields to summarize the current trends. The literature review comprised 108 articles from databases that included Scopus, ScienceDirect, and Google Scholar. The papers were subjected to a thorough examination by the VOSviewer program and researchers, who utilized content analysis to classify them into four themes: 1) inclusive design; 2) accessibility; 3) digital art therapy and 4) digital technology environments. Further investigation and development are necessary to propose a novel approach to instructing senior-level art utilizing cutting-edge technologies, which could be enhanced by the findings of this review article.
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Mobile Phone Background Design for Older Adults: A Case Study of Line
(2019-04-01)
Satcharoen, Kleddao
The purpose of this study was to examine how visual characteristics like the background image could affect usability of mobile apps for older adults, using a case study of the Line messaging application. Older adults typically have a lower use of mobile Internet technologies, because of both visual and cognitive barriers and attitudes and resistance to change. The study was conducted as a qualitative observational study of 40 older adults, who were offered a brief training session on Line and then monitored at three times over a three-week period. The findings showed that post-training, many participants did change their backgrounds to suit colour preferences, mood, or vision needs. Adopters also self-discovered features like group-based background colours. Although there were a few non-adopters remaining, the study showed that training in app use encouraged senior users to use the app and to adapt it to their needs. The implication is that app-specific training could improve senior use of mobile apps.

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